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The goal of treatment for motor impairment is not to “normalize” but to “functionalize” through facilitative modulation and enabling context

Published online by Cambridge University Press:  04 February 2010

Gary Goldberg  and
Nathaniel H. Mayer
Gary Goldberg
Affiliation:
Drucker Brain Injury Center and the Limbs with Restricted Motion Program, MossRehab Hospital, Philadelphia, PA 19141-3099. [email protected]
Nathaniel H. Mayer
Affiliation:
Drucker Brain Injury Center and the Limbs with Restricted Motion Program, MossRehab Hospital, Philadelphia, PA 19141-3099. [email protected]
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Abstract

Adaptations occurring in the central nervous system (CNS) in the presence of pathology are not uniformly “good” for the organism when viewed in a functional context. A functional reordering of CNS priorities can be produced by allowing restructuring of the external context or through modification of neuromuscular physiology or anatomy designed to reduce the inherent restriction of functional movement in upper motor neuron syndrome. In fact, volitional control can often be “unmasked” through such interventions. Therapeutic interventions should not be directed toward “normalization” of motor patterns but should permit a functional reordering of CNS priorities that would otherwise not be possible.

Type
Open Peer Commentary
Information
Behavioral and Brain Sciences , Volume 19 , Issue 1 , March 1996 , pp. 75 - 76
Copyright
Copyright © Cambridge University Press 1996

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